Provider Demographics
NPI:1467929745
Name:ROJAS, INGA RAE (LCSW-R)
Entity Type:Individual
Prefix:MS
First Name:INGA
Middle Name:RAE
Last Name:ROJAS
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1580 SWEETBRIER LN
Mailing Address - Street 2:
Mailing Address - City:WALWORTH
Mailing Address - State:NY
Mailing Address - Zip Code:14568-9528
Mailing Address - Country:US
Mailing Address - Phone:585-993-1315
Mailing Address - Fax:
Practice Address - Street 1:1580 SWEETBRIER LN
Practice Address - Street 2:
Practice Address - City:WALWORTH
Practice Address - State:NY
Practice Address - Zip Code:14568-9528
Practice Address - Country:US
Practice Address - Phone:585-993-1315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-25
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0821331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical